Puppy with severe hip dysplasia - considering hip replacement. Experience?

newfoundchaos

New member
Hi all,

I am new to these forums. This seems like a wonderful wealth of information so I was hoping to get some advice here.

I got my pup Oscar in May of 2014. He was 11 weeks at the time. He will be 1 year old on February 21st.

The story is, he started exhibiting signs of lameness around 7 months. Oscar started showing stiffness in his back legs after periods of rest, particularly at night. At first, I chalked it up to growing pains. He was arching his back a ton, like a cat, after standing up. I found it getting worse and took him to our regular vet after seeing him struggle to stand one day after doggy daycare.

Our vet did an examination, blood work, and took X-Rays. She found he had hip dysplasia in addition to elbow and knee problems, but suggested we visit a specialist for confirmation and routes of treatment. I decided to try (key word being "try") not to worry until I knew more.

I saw the specialist a few weeks later and it was not good news. Oscar's hips exhibit severe hip dysplasia. When he puts weight on his back legs, his joints come out of socket (on both sides, though it seems his left side is more painful). You can actually see this happening. When he's standing, you see his joint roll out, and as he sways, it rolls back in. This was no surprise to me, given the way he hobbled after exercise.

The specialist said I have two options: exercise him regularly in the form of leashed walks (though it's hard on him), therapy, and anti inflammatories for life and hope he can manage the pain, or, a total hip replacement on both sides. If we go the hip replacement route, it'll end up being around 6 grand per hip start to finish (that includes X-rays, consultations, and follow-ups), barring any complications, which are always possible. I do not have pet insurance.

For those familiar with hip surgeries, FHO and TPO are not options given Oscar's build and severity of dysplasia. I was surprised when he said a total hip replacement as I expected him to suggest something less... Less aggressive? But he explained that puppies with these severe of symptoms rarely have good outlooks without surgical intervention.

If you're wondering, his parents have excellent hips. I saw their certifications. The breeder says she has never had to deal with this, and I believe her. She was shocked when I called her with this news, and it felt genuine. It's just unlucky and horrible that Oscar was dealt this card. As the ortho said, these things just sometimes happen.

So like I said, this was about 3-4 months ago. The ortho said surgery wasn't an option until 10 months of age at the earliest. Oscar is now 11 months. Since seeing that specialist, I have taken Oscar to a holistic vet who tries alternative methods of treatment. He's been doing hydrotherapy, started taking a new supplement (an alfalfa/yucca liquid that goes in his food, in addition to the Dasuquin with MSM that he's already been on), and got the pain medicine tramadol (in addition to the anti-inflammatory carprofen he was prescribed long ago), which was HUGE. A week after his first appointment, armed with this pain killer, Oscar had an enormous increase in his mobility and comfort. It was obvious. He went from struggling to stand and arching his back like a cat after a day of nothing to being able to go on walks, pounce around the backyard, and still be able to move.

However, his improvement plateaued there. He definitely got better initially and it stopped there. I am so grateful for the pain meds as it obviously helps, but only to a point, if that makes sense. He wasn't and isn't perfect--I still can't take him on walks longer than 20 minutes or he'll be limping so badly he drags the top of his left leg on the ground when we takes a step.

And don't get me wrong, he still functions. He walks around the house and pounces on his toys, chases the cat, bounces through the snow, gets VERY excited when he sees other dogs or humans, but the real symptoms come out when he is relaxed. He still limps for no reason (meaning, even without exercise, he hobbles). His back legs shake all the time, even when standing. I still try to avoid all stairs. I still cringe if he sees another dog because he wants to play so badly and I know he can't. I can't take him to doggy daycare for fear he won't stand up that night.

I am leaning heavily toward a hip replacement on his left side, which is definitely the worse side, and hope that his right will be strong enough after his left heals that we won't need to do more. I understand the cost, but the way I see it, even if Oscar only lives to be 4 or 5, having that many years of me seeing him in discomfort and knowing he isn't as happy as he could be would be selfish and excruciating for me. I hate seeing him in pain and I want him to play and run like a normal dog. Being able to function isn't enough for me and for him right now at this young of an age. If he were 6 and these problems were happening, that'd be a different story. But he's still a baby.

So here come the questions: has anyone had a puppy with really severe dysplasia? I don't mean a vet said he had it and you saw no symptoms and he's lived a long, happy life... Oscar's symptoms are obvious. This is not a case of mild dysplasia. Has anyone had a hip replacement done for their Newf? What was your experience? What was recovery like?

If anyone has any suggestions or experience with this, please let me know. My plan is to have a follow-up with the holistic vet next week since Oscar has completed a 10-pack round of hydrotherapy + chiropractic visits and see what he thinks Oscar's progress has been. And I am scheduled for X-rays with the ortho in about a month to order parts, should I choose to go through with the replacement.

Edit: I did look at the sticky post about hip dysplasia, and read through the whole thing, but I found that commented much more on the validity of the X-rays and urging the poster to wait it out and try other methods before surgery. I have done all that and am really hoping someone who has been through this will reach out, because I really can't find much of anything in regard to hip replacement anecdotes, less with Newfoundlands.

Thanks everyone,

Jess and Oscar
 
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DAWNMERIE

Active member
First ? Why wait until 10 months, these dogs are not fully grown until at least 2 years of age? Can u post x-rays for some of the more experienced to see?
 

wrknnwf

Active member
I am so incredibly sorry that your boy is having these devastating problems.

My personal opinion is, that after reading your very detailed description of his problem, he should have the surgery. Discuss with the vet about his age and whether or not he should mature some more, or if letting him go longer will interfere with his growth plates closing or other malformations. If his joints are that bad, it could cause other long term problems with his back, etc. You sure don't want to risk making things worse or trading one problem for another.

You could post x-rays, but my gut tells me you are already on top of this and already know what to do. I think you're in need of some support and you have it here, no matter what you do.

Normally, I would say wait or if it was milder, manage it for life, but this time, I feel like that would be the wrong advice. It is challenging to nurse a young, otherwise healthy dog through regular hip surgery. A total hip replacement may even be more taxing. But I have a funny feeling that you're up to it, and with good and very cautious care while he recuperates, you will probably be glad of your decision. There are always risks of course, but you just have to do what you feel is best for him.

Which ever way you go, please keep us updated. This is valuable information for all the posters here and your personal experience is needed so we may all learn.

Sending the very strongest and best wishes for your boy and strength for you.
 

newfoundchaos

New member
Thanks wrknnwf

Thank you so much. You made me tear up! I so appreciate your kind words.

My hope is that someone who has been through it already will see this and be able to shed some light on their experience. I have seen and heard many stories about other breeds having very successful outcomes with this surgery, but I was hoping for some Newf ones. Rest assured I have done extensive research in the past 4 months, but I still want more.

Thanks again. I can't tell you how much your words have resonated with me!

I am so incredibly sorry that your boy is having these devastating problems.

My personal opinion is, that after reading your very detailed description of his problem, he should have the surgery. Discuss with the vet about his age and whether or not he should mature some more, or if letting him go longer will interfere with his growth plates closing or other malformations. If his joints are that bad, it could cause other long term problems with his back, etc. You sure don't want to risk making things worse or trading one problem for another.

You could post x-rays, but my gut tells me you are already on top of this and already know what to do. I think you're in need of some support and you have it here, no matter what you do.

Normally, I would say wait or if it was milder, manage it for life, but this time, I feel like that would be the wrong advice. It is challenging to nurse a young, otherwise healthy dog through regular hip surgery. A total hip replacement may even be more taxing. But I have a funny feeling that you're up to it, and with good and very cautious care while he recuperates, you will probably be glad of your decision. There are always risks of course, but you just have to do what you feel is best for him.

Which ever way you go, please keep us updated. This is valuable information for all the posters here and your personal experience is needed so we may all learn.

Sending the very strongest and best wishes for your boy and strength for you.
 

victoria1140

Active member
My boy had the tpo done at 19 months old for bad hips , unfortunately he contracted cancer so we will never know how much it would have made his old age easier.

There is a uk program called supervet which shows before and after hip replacement surgery.

Also on petforums.co.uk there is a section under health where a malamute had total hip replacement.it should hopefully help with more advice.

Be prepared to nonslip your house and also restricted exercise for a few months.
 

newfoundchaos

New member
Also on petforums.co.uk there is a section under health where a malamute had total hip replacement.it should hopefully help with more advice.

Be prepared to nonslip your house and also restricted exercise for a few months.
Thank you so much for this. I've been reading through it and it's so helpful--the level of detail is amazing! Thanks again, so much!
 

newfoundchaos

New member
No. I asked for money back that would go directly to his vet bills and they declined. And no offer to take him back (which I would have never done anyway, so that didn't upset me too much).
 

R Taft

Active member
I am so sorry you have all of this to deal with :( ......My Abbey had a terrible set of hips..spine and elbows actually basically bad all over.......there were too many parts of her to mention as being bad.

We discovered all of this really at about 10 months..she was thought of as having Hip Dysplasi by all the vets, but i work in a Radiology Department and my Radiologists had a good look, asked for some extra X-rays and we did a CT scan at work and it was decided she had Rheumatoid arthritis...so we went the supportive treatment instead. She had all the oral support, glucosamine, fish oil, Vit C and E, magnesium , shark cartilage, NZ mussel extract and Devils Claw.....Make very sure you have a good diagnosis first of an orthopedic vet, which i do now ( have learned from past experience) So Abbey was given lots of Bowen Therapy, which reduced her pain almost instantly, Acupuncture which also helped a great deal. And we did swimming, lots of swimming and it helped to strengthen all her tendons and muscle and she managed really well for 9 years, when she died of something totally unrelated, she led a very happy life....so we did not do the surgery, even though it was suggested by our vet (hip replacement on both sides). We decided too many other things were wrong and I thought it might have a domino effect....fix one thing and put more stress on the others...if this happened today ( this was about 12 years ago) I would go and visit my orhto vet about 250 miles away and ask him what to do. But I did not know him at that time.
 

Brandie&Maggie

New member
I'm so sorry you are dealing with this with your boy. We don't have experience with this surgery, but it sounds to me like you have done a ton of research and tried alternative therapies. You have to go with your gut and we will be here to support you no matter what you decide.

My girl has a ruptured CCL that is un-repairable (was already ruptured for several years before we got her) and a partial tear on the other side, plus arthritis in her hips and spine...so we're in the ortho club too.

As far as newfie ortho problems are concerned in general, here are the things I would consider/do (if you haven't already):

1. Ensure your ortho vet/surgeon is an expert in this type of surgery for giant breeds specifically. They can obviously pose special challenges/risks.
2. Get a 2nd opinion from another ortho vet/surgeon just to be certain of your options.
3. Ensure the timing of the surgery is as optimal as possible. Like others mentioned, should you wait until he's a bit older or would that cause more problems? What are the chances the surgery would have to be repeated if you do it now and he grows a lot more?

Whether you go with surgery or not, as part of the ortho club, here are some things that may be helpful:

1. A harness or sling of some sort for after surgery, or even now to help him get up. We have the Help Em Up harness as it can stay on all the time and I don't have to get it under her when she's lying down. There are plenty of cheaper and very practical options too.
2. Non-slip rugs/flooring throughout the house. We have mostly hardwood floors, but have put down long runner rugs everywhere Maggie needs to walk. (I got them super cheap at Lowe's - they are sold by the foot and I don't worry when I throw them out and replace them every year or 2).
3. If you do surgery, you'll need an x-pen. Look at both those branded for dogs and for babies - same thing, sometimes vastly different pricing. You can also use Bed Bath & Beyond 20% off coupons at Buy Buy Baby or Babies R Us which helps a lot on the cost.
4. You'll need some things to keep him occupied after surgery, especially since he's a puppy. Puzzles, food toys, etc. Lots of variety.

I'm sorry that these issues are what brought you here, but Welcome! Please keep us posted on your boy and we're here to help whatever you decide!
 

Ginny

New member
My heart is aching for you and your pup. :cry: I've no experience with hip replacements. I'd check into prolotherapy before going the route of surgery. You may want to post on Facebook since there are a ton of people on that site.

Moral to the story: get pet insurance. Mother Nature can, and does, override great pedigrees. Live and learn...
 

mortdooley

Member
My avatar is my first Newfie Cate and she was diagnosed with severe hip dysplasia as a puppy and we opted for double hip replacement. She lived with a compromised immune system the rest of her short life and finally was lost to lymphoma cancer. We lost her before she was five after spending a small fortune in Vet bills.

On a positive note a friend had a cattle dog with the same problem and they took him to Texas A&M University Veterinary school and he has lived a problem free life ever since. Who does the procedure and how probably determines what outcome you get.
 

newfoundchaos

New member
Hi all,

Just wanted to give an update and share my experience for those who are interested. We did opt for a hip replacement on Oscar's left side a little over 3 weeks ago. We went to the Ohio State University for the procedure, something for which I am very thankful we had the opportunity to do. They are great there.

The downside is that, while there, we found out Oscar also has elbow dysplasia + a wrist problem and arthritis in addition to hip dysplasia on both sides. But, since the hips were definitely priority 1, we didn't do any kind of tests other than physical on the elbow front. The doctors supported my observations that he was more painful on his left side, though his right is also severely dysplastic. Only 1 in 6 dogs end up having two hip replacements done, but they said that if any dog looked like he might need it, it's Oscar. Still, they said we can be hopeful that he'll get strong enough on the left that it can compensate for the right and he may not need another replacement. My fingers will be forever crossed on that one.

The surgery went great, as well as they could have hoped, they said. They used a cementless implant. I picked him up the day after surgery and brought him home. The first night was a nightmare. He didn't sleep at all (nor did I). He whined and cried and was awful, awful to watch him hobble around when we took him out to pee. I was heartbroken. He peed himself the second night, something I didn't understand, as I slept next to his crate and he didn't make a peep the whole night. Subsequent research showed me that this is pretty typical behavior post general anesthesia, so that made me feel better and put it all in perspective, especially considering how much better he did every day from that day forward. The first two days were sad and hard to watch, but then every day that passed for the next week was a huge improvement from the previous day.

Fast forward a few weeks and wow, he's doing great. He rolls on his back all the time, he lies on the operated hip side, he gets up to greet us, he's wagging his tail, he is playful... Back to his normal personality. We hit another milestone yesterday when he scratched his ear with his operated hip--my face lit up and I probably looked like I'd won the lottery, I was so excited. It's the little things! As for standing and walking, he is definitely still gimpy and reluctant to put weight on that back left paw, he has an obvious limp, and he isn't sure footed quite yet. Still, we have stopped using the sling, and he puts his paw down on every single step (I know it may not sound great, but coming from the first day when he hopped on three legs... It's great.). His two week check up/staple removal was glowing in terms of recovery, but I have to admit he was terrified and acting like he was in serious pain at the incision site, but in retrospect, I'm sure it was just fear and anxiety. I rub his scar/surgical area all the time and he doesn't bat an eye.

He is confined either to our living room (carpeted) or his giant crate (Great Dane size) at all times. If he gets bored he starts pacing, and if distraction (like lying-down playing or training) doesn't work, he gets crated. We only go outside on a leash and it is strictly to go potty and then straight back inside. In a week, though, we get to start very short walks and I couldn't be more excited about it.

So, at 4 weeks, we start short, short walks that increase a little bit every couple of days. We'll have another check up at 7 weeks (normally it's at 8 weeks, but scheduling conflicts force us to go a little sooner) and we'll get some information about how much longer until he can return to full, normal activity. Can't wait!

If anyone has questions I am happy to answer. I had so many going into this procedure, but OSU put me at ease and now feel happy with my decision to have this done. Like I said, he isn't as stable as he was pre-surgery, but the hope is that in the next month/two months he will reach that level and then exceed it and be better and more pain free than ever.

Thanks for everyone's input and words of support while making this decision. I appreciate it.

Jess & Oscar
 

Angela

Super Moderator
So happy to hear all is going well so far and he is beginning to enjoy life again. What a time you must have had with the post op. Hard because we can't explain to them what is happening. Keep us updated :)
 

wrknnwf

Active member
I am happy to see your post and know that your sweet boy is doing so well. We always wonder if we're making the right decision and it's agonizing. I'm glad that you are happy with the outcome and progress so far. It won't be long before this is just a memory and not a living nightmare.

Wishing you more good progress and a happy, pain free life for your boy.
 

ElvisTheNewf

Active member
I'm glad he's doing well!! Elvis had his TPLO at Ohio State and I can't say enough great things about that place.
 
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